Proving your worth. Alison Penny Coordinator, Childhood Bereavement Network Project Coordinator, National Bereavement Alliance

Transcription

1 Proving your worth Alison Penny Coordinator, Childhood Bereavement Network Project Coordinator, National Bereavement Alliance

2 Introduction Childhood Bereavement Network and National Bereavement Alliance The current policy context and what is changing The value of what you do Demonstrating the value

3 How are services funded? Type of funding % of child bereavement services in receipt of type of funding Donations/legacies Fundraising Grants Income generation Revenue Sponsorship n Rolls and Payne, 2003

4 What is changing? Austerity Localism Organisation of health, social care and public health Funding of palliative care

5 Social Return on Investment: the principles Involve stakeholders. Understand what changes. Value the things that matter. Only include what is material. Do not over-claim. Be transparent. Verify the result. The Guide to SROI (2012)

6 The stages in SROI Establishing the scope and identifying key stakeholders Mapping outcomes Evidencing outcomes and giving them a value Establishing impact Calculating the SROI Reporting, using and embedding The guide to SROI (2012)

7 1: calculate total costs of delivering your service...

8 1.Calculate total costs of delivering your service Staffing Pensions, NI Training Supervision Trustees expenses Volunteer expenses Evaluation Premises rent, heating, lighting Insurance Transport Running costs phones, postage, printers, paper Materials Refreshments

9 Goods and services Volunteer time In-kind support Type of role NHS agenda for change band Annual salary, NI, pension Family Support Worker 29,662 (22, ,721) Unqualified support worker Band 2 19,661 (16,193+ 3,468) Occupational therapist, speech and language therapist Band 5 28,924 (23, ,483) Clinical psychologist Band 8a 57,234 (45,593+11,641) Hourly rate Based on 1602 working hours. Rates and working hours taken from Curtis, Only salaries and direct on-costs are included: it is assumed that indirect costs such as management, office space, phones etc are incurred whether the staff are paid or volunteers, thus no additional saving in these areas if made by using volunteers.

10 -pages/unit-costs/2013/

11 1: calculate total costs of delivering your service... 2: divide by total number of clients to give cost per head / = 3: choose random sample of Client clients 1 1 4: for each client, calculate realised savings and 2costs avoided and add these together Savings realised Costs avoided Total Minus cost per head of service Total savings per client

12 4. Calculate savings Realised savings the things that were happening before you started supporting the client, that are no longer happening Costs avoided the things that were likely to happen when you started supporting the client, but which haven t come to pass

13 Cautions and caveats What to measure When to measure Deadweight Attribution

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15 Sample unit costs Intervention Cost Unit Page no GP consultation 45 Per visit (11.7 minutes) 191 Counselling in primary care 58 Per consultation 54 Cognitive Behaviour Therapy 91 Per session 52 Group mindfulness-based cognitive therapy 168 Per session (12 in group - 14 per person) Alcohol health worker, A&E 54 Per consultation 69 Community care package for older people (median) 363 Per week (excl accom and living expenses All from Curtis, 2013

16 Other costs Average 5.3 sick days per UK employee The average total cost for each absent employee in 2012 was 975, while the median was lower at 622 Employers asked to specify five most common causes of short-term and long-term absence Illnesses causing absence (%): non work-related stress, anxiety and depression Manual Non-manual Short-term Long-term CBI (2013) Fit for purpose: absence and workplace health survey 2013

17 Socio-economic costs of bereavement in Scotland Very complex study using longitudinal data Death of a spouse associated with typically longer stays in hospital Cost per year of excess inpatient days required for bereavement approximates to 16,230,051-23,307,539 Estimated cost of bereavement in general practice for 2009/10 was 2,200,960 (68,780 consultations for bereavement x 32 as per consultation) Death of a spouse also associated with an overall increased risk of death for the widow(er) (18.2% higher mortality in bereaved group) All reports available on the website of The Scottish Grief and Bereavement Hub

18 1: calculate total costs of delivering your service... 2: divide by total number of clients to give cost per head / = 3: choose random sample of clients 4: for each client, calculate realised savings and 1 costs avoided and add these together 2 Client Saving s realise d Costs avoided Total Minus cost per head of service Total savings per client 5: for each client, subtract the cost of your service, 3 giving total savings per client 6: add the all the individual savings together 7: divide by the number of clients in the sample 8: multiply by the total number of clients you worked with Total savings across sample of clients Number of clients in sample / Average savings per client in sample = Number of clients you worked with x Total savings from your service =

19 Social value Public Services (Social Value) Act 2012 England and Wales Places a duty on public bodies to consider social value before a procurement process starts The Act applies to the provision of services, or the provision of services together with the purchase or hire of goods or the carrying out of works when the services element is greater The authority must consider (a)how what is proposed to be procured might improve the economic, social and environmental well-being of the relevant area, and (b)how, in conducting the process of procurement, it might act with a view to securing that improvement. Happiness, wellbeing, health, inclusion, empowerment

20 Your social value Implicit in everything you do Experience for volunteers Peer support Supporting the local economy Improving the environment

21 References CBI (2013) Fit for purpose: absence and workplace health survey workplace_health_2013.pdf Curtis, L (2013) Unit costs of health and social care, 2013 Canterbury: Personal Social Services Research Unit Rolls, L. and Payne, S. (2003) 'Childhood bereavement services: a survey of UK provision', Palliative Medicine, 17, Social Return on Investment (2012) A guide to social return on investment